Provider Demographics
NPI:1487181293
Name:LODOLO, MAURO (MD)
Entity Type:Individual
Prefix:DR
First Name:MAURO
Middle Name:
Last Name:LODOLO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19 VIA ALBERTO MARIO
Mailing Address - Street 2:
Mailing Address - City:TERNI
Mailing Address - State:TERNI
Mailing Address - Zip Code:05100
Mailing Address - Country:IT
Mailing Address - Phone:39074-441-4718
Mailing Address - Fax:
Practice Address - Street 1:5 VIA CESARE BATTISTI
Practice Address - Street 2:
Practice Address - City:TERNI
Practice Address - State:TERNI
Practice Address - Zip Code:05100
Practice Address - Country:IT
Practice Address - Phone:366-392-3277
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-11
Last Update Date:2017-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ZZ04530208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics